This document discusses the implications of urbanization and infrastructure development in East Africa. It notes that urbanization is associated with higher energy consumption and greenhouse gas emissions. The massive infrastructure development expected to support growing urban populations in East Africa over the next two decades presents an opportunity for mitigation efforts. Successful mitigation options implemented at the city-scale can provide co-benefits like improved health, employment, growth and resilience if bundled policy instruments are used. While many cities have climate action plans, their overall impact on emissions is uncertain.